Very Early Extubation after Open-Heart Surgery in Children Does Not Influence Cardiac Function

被引：0
作者：
U. Meißner
J. Scharf
J. Dötsch
M. Schroth
机构：
[1] Leopoldina Hospital,Department of Pediatrics
[2] University of Erlangen-Nuremberg,Department of Pediatrics
来源：
Pediatric Cardiology | 2008年 / 29卷
关键词：
Children; Hemodynamic parameters; Heart surgery; Cardiopulmonary bypass; Early extubation;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
The objective of our study was to evaluate hemodynamic effects and the cardiac function after very early extubation within the first 6 hours after open-heart surgery in children. During a 12-month period, we performed a retrospective study of 50 children (ages 3 months to 7 years) admitted to the pediatric intensive care unit immediately after minor cardiac surgery. All children were extubated within the first 6 hours after their arrival. Arterial blood and central venous pressure were monitored, and arterial blood gas analysis was performed. Cardiac index, stroke volume index, systemic vascular resistance index, and extravascular lung water index were measured by thermodilution. Early extubation of children after minor open-heart surgery with cardiopulmonary bypass is safe and does not affect cardiac functions. A slight decrease of arterial oxygen tension not resulting in respiratory or metabolic acidosis or reintubation was noted. Very early extubation in children after open-heart surgery does not promote cardiodepressive effects. It is a safe procedure that helps to reduce the unnecessary and prolonged mechanical ventilation of children after cardiopulmonary bypass surgery.
引用
收藏
页码：317 / 320
页数：3
相关论文
共 70 条
  • [1] Barash PG(1980)Early extubation following pediatric cardiothoracic operation: a viable alternative Ann Thorac Surg 29 228-233
  • [2] Lescovich F(1992)Early extubation of the trachea after repair of secundum-type atrial septal defects in children Can Anaesth Soc J 39 1041-1044
  • [3] Katz JD(2004)Factors associated with early extubation after cardiac surgery in young children Pediatr Crit Care Med 5 63-68
  • [4] Talner NS(2000)Delay of extubation in neonates and children after cardiac surgery: impact of ventilator-associated pneumonia Intensive Care Med 26 942-949
  • [5] Stansel HC(1988)Beneficial effects of endotracheal extubation on ventricular performance. Implications for early extubation after cardiac operations J Thorac Cardiovasc Surg 95 819-827
  • [6] Burrows FA(1993)Invited letter concerning: cytokines and mechanisms of capillary leakage after cardiopulmonary bypass J Thorac Cardiovasc Surg 106 566-567
  • [7] Taylor RH(1997)Early extubation after cardiac operations in neonates and young infants J Thorac Cardiovasc Surg 114 413-418
  • [8] Hillier SC(1997)Circulating endotoxin and cytokines after cardiopulmonary bypass: differential correlation with duration of bypass and systemic inflammatory response/multiple organ dysfunction syndromes Clin Immunol Immunopathol 85 97-103
  • [9] Davis S(2002)Very early extubation in children after cardiac surgery Crit Care Med 30 787-791
  • [10] Worley S(1996)Tracheal extubation of children in the operating room after atrial septal defect repair as part of a clinical practice guideline Anesth Analg 82 988-993
1234567